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Table 3 GPs’ and MHPNs’ reasons to choose for external referral

From: GPs’ and practice nurses’ views on their management of paediatric anxiety problems: an interview study

Reasons for external referral

Severe anxiety problem

Suicidality

Self-harm

No improvement despite treatment

(Comorbid) psychiatric disorders

Complex family situation

Traumatic experiences

Indication for extensive diagnostic assessment

Explicit request for referral

Child maltreatmenta

No availability of / with MHPNa

Indication other type of treatmentb

Long duration of anxiety problemb

Young childrenb,c

  1. Topics mentioned by GPs and MHPNs
  2. aOnly mentioned by GPs
  3. bOnly mentioned by MHPNs
  4. cMentioned by two interviewees